Individual
MRS. EBONY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
650 OFFICE PKWY, CREVE COEUR, MO 63141-7103
(314) 517-2746
Mailing address
758 CHATELET WOODS DR, SAINT LOUIS, MO 63135-1368
(314) 517-2746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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